Request an Appointment

Use our online form to request an appointment for a procedure your doctor has ordered. Please note that this is only an appointment request. One of our customer care agents will contact you to schedule your appointment according to your preferred date, time & location and based on availability.

Your Contact Information
We will contact you to confirm your appointment date and time.
* = required fields

Appointment Type
Please select the type of appointment you would like to book:

Date and Time
Please select your preferred time and up to two (optional) alternate times in case your preference is not available.

Alternate 1 (Optional)

Alternate 2 (Optional)

What color is the sky? (rhymes with glue)

Please check "i am not a robot" before submitting the form.


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For immediate help with requesting an appointment or questions about our facility, please call our front office at 860-896-4848 for personalized, friendly assistance.